Vaginal or rectal fistula
Background Rectovaginal fistulas RVFs are abnormal epithelium-lined connections between the rectum and the vagina. RVFs may be simple or complex. This study analyzed the outcome of single-incision transperineal repair of simple RVFs with a vital bulbocavernosus muscle flap. Patients and methods A total of 11 consecutive patients with simple and recurrent RVFs were included and assigned to single-incision transperineal repair with a vital bulbocavernosus muscle flap. Postoperatively, patients were followed up at the outpatient clinic or through telephone interviews with specific questionnaires to collect information on the status of fecal control, flatus, or fecal leakage from the vagina, and on the quality of personal and social life. Functional results were evaluated after 6 months by means of anal manometry and a questionnaire reflecting the symptomatic results, Wexner Incontinence Score and the Female Sexual Functional Index.
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Vaginal Fistula | Michigan Medicine
Jump to navigation. What is a rectovaginal fistula? A rectovaginal fistula is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina. Although generally uncommon, rectovaginal fistulas may be extremely debilitating. If the fistula is wide it will allow both gas and stool to escape from the rectum into the vagina, leading to fecal incontinence. Patients can experience recurrent urinary and vaginal infections due to this leakage. The severity of symptoms will depend on the size of fistula.
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Childbirth is increasingly being recognized as commonly injuring the mother's anal sphincter complex. Fecal incontinence also appears to be associated with urinary incontinence and pelvic organ prolapse. The inability to control feces is also a devastating problem. Many people find this problem socially incapacitating and stay home, thus minimizing social contact to avoid an embarrassing situation. Rectovaginal fistula occurs when the tract is formed between rectum and vagina.
A vaginal fistula is a tract or hole that has opened up from the vaginal wall and connects with another organ in the body. The most common types of vaginal fistula are:. A fistula usually develops after tissue damage or trauma has occurred to the area.
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